IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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Blue Shield of California Foundation 990PF- Part XV 3a-Paid during the year California Physicians' Service Fdn (dba Blue Shield of California Fdn) FEIN: 94-2822302 Attachment A Organization Legal Name Foundation Status of Organization Payment Date Project Title Payment Amount Women's Crisis Support - Defensa de Mujeres Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Women's Foundation of California Non-profit, non-foundation 12/18/09 An intermediary to implement the Blue Shield Against Violence Strong Field $300,000.00 Women's Foundation of California Non-profit, non-foundation 09/04/09 Women's Policy Institute $25,000.00 Women's Resource Center Women's Shelter Program of San Luis Obispo County Non-profit, non-foundation Non-profit, non-foundation 07/31/09 07/31/09 2008 - 2010 Shelter Initiative 2008 - 2010 Shelter Initiative $20,000.00 $5,000.00 Women's Transitional Living Non-profit, non-foundation 08/13/09 2008 - 2010 Shelter Initiative $20,000.00 WomenShelter of Long Beach Non-profit, non-foundation 09/04/09 2008 - 2010 Shelter Initiative $10,000.00 Womenspace Unlimited South Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Working Partnerships USA Non-profit, non-foundation 03/26/09 Planning for a Countywide Prevention Program $45,000.00 YWCA Monterey County Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 YWCA of Glendale Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 YWCA of San Diego County Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 YWCA of San Gabriel Valley Non-profit, non-foundation 09/04/09 2008 - 2010 Shelter Initiative $15,000.00 YWCA of Sonoma County Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 Yolo County Children's Alliance of California Non-profit, non-foundation 04/30/09 2009 Healthy Kids Premium $76,865.00 Youth Radio Non-profit, non-foundation 07/31/09 "Boss of Me" BOM Youth Media Campaign Launch $589,504.00 Youth Radio Non-profit, non-foundation 01/13/09 "Boss of Me" BOM Youth Media Campaign Launch $710,496.00 Total Payment Amount: $34,779,436.75 53,506 - returned ---------------------- 34,725,930.75 Page 26 of 26 January 26, 2010 Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status of 'Paid'.
California Physicians' Service Fdn (dba Blue Shield of California Fdn) FEIN: 94-2822302 Attachment B Blue Shield of California Foundation 990PF- Part XV 3b-Approved for Future Payment Run by Gwyneth Tripp Data contained in this report was filtered on Payment Status of 'Scheduled', Grant Year of '2009', Scheduled Payment Date between 01/01/10 and 12/31/15. January 26, 2010 10:21 PM
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November 9, 2010 California Physici
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TAX RETURN FILING INSTRUCTIONS FORM
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Form 990-PF (2009) Assets Liabiliti
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Form 990-PF (2009) Part VI CALIFORN
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Form 990-PF (2009) Part VII-B CALIF
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Form 990-PF (2009) Part X CALIFORNI
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CALIFORNIA PHYSICIANS' SERVICE FDN
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Form 990-PF (2009) Part XVI-A Enter
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Schedule B (Form 990, 990-EZ, or 99
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Schedule B (Form 990, 990-EZ, or 99
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Form 8868 (Rev. 4-2009) ¥ If you a
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Blue Shield of California Foundatio
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California Physicians' Service Fdn
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Form 990P- Part IX-A Summary of Dir
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TAX RETURN FILING INSTRUCTIONS CALI
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Part II CALIFORNIA PHYSICIANS' SERV
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IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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